KMID : 0359020080360050288
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Korean Journal of Gastrointestinal Endoscopy 2008 Volume.36 No. 5 p.288 ~ p.291
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A Case of a Gastric Metastasis of a Renal Cell Carcinoma
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Ko Youn-Uk
Yang Ung-Suk Kim Nam-Sik An Jin-Kwang Kim Kwang-Jin Kim Hyung-Wook Park Won-Il
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Abstract
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A gastric metastasis is an extremely rare event accounting for 0.2 to 0.7% of gastric neoplasms seen at necropsy. Primary origins of a gastric metastasis are pancreatic cancers, colon cancers, lung cancers and malignant melanomas. A renal cell carcinoma is renowned for its metastatic potential to spread to almost any organ of the body. However, a gastric metastasis of a renal cell carcinoma is very rare. It is believed that a renal cell carcinoma metastasizes hematogenously and it spreads through a renal vein to the stomach via the inferior vena cava and hemiazygos vein. A metastasis to the stomach is frequently located in the greater curvature of body. Endoscopic findings of a gastric metastasis often resemble a submucosal tumor with or without ulcer. Presenting symptoms are bleeding, anemia, or pyloric obstruction, but often the patient is asymptomatic. We report a case and review of the literature of a metastatic renal cell carcinoma to the stomach in a 71-year-old man who complained of a palpable abdominal mass. (Korean J Gastrointest Endosc 2008;36:288-291)
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KEYWORD
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Renalcellcarcinoma, Stomach, Metastasis
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